Role of home total parenteral nutrition in management of obliterative peritonitis.
Two patients with obliterative peritonitis complicating enterocutaneous fistulae received total parenteral nutrition prior to surgical closure. One patient managed on home parenteral nutrition for 8 mo experienced psychosocial and nutritional rehabilitation at a daily cost of $37. Experience with the other patient confirmed that a significant resolution of obliterative inflammatory changes can occur during a 4-mon period of bowel rest when septic foci have been drained adequately. In-hospital management was required by this patient, and daily charges greatly exceeded those accrued by the other patient who could be managed at home. A home parenteral nutrition program is a cost-effective means of providing time for resolution of obliterative peritonitis.
D000328:Adult; D003365:Costs and Cost Analysis; D005260:Female; D006699:Home Care Services / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000009:adverse effects / Q000191:economics; D010289:Parenteral Nutrition, Total / Q000009:adverse effects / Q000191:economics; D010538:Peritonitis / Q000628:therapy*